Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $85.29 / $85.29	Facility		$85.29	$85.29	$85.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $85.29 / $103.66	Professional		$72.81	$85.29	$103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.39 / $1,062.39 / $1,062.39	Facility		$1,062.39	$1,062.39	$1,062.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $144.99 / $532.40	Facility		$85.29	$144.99	$532.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.18 / $362.18 / $362.18	Professional		$362.18	$362.18	$362.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.73 / $1,438.66 / $1,539.37	Professional		$1,366.73	$1,438.66	$1,539.37